Shared Flashcard Set

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SC Property and Casualty
SC Property and Casualty Licensing Definitions
199
Business
Undergraduate 2
09/16/2016

Additional Business Flashcards

 


 

Cards

Term
Abandonment
Definition

The abdication of insured property into the hands of another, or into the possession of no one in particular

Term

Absolute Liability

Definition

Liability that arises from an extremely dangerous situation. Often found in cases involving explosives. Also known as "strict" liability. For example, you are absolutely liable if you keep a wild animal as a pet.

Term

Accident

Definition

An unplanned, unforeseen event which occurs suddenly and at a specific place

Term

Actual Cash Value

Definition

The required amount to pay damages for property loss, which is calculated based on the property's current replacement value minus depreciation

Term

Additional Coverage

Definition

A provision in an insurance policy that allows for more coverage for a specific loss expense without an increase in premium

Term

Additional Insureds

Definition

Individuals or business that are not named as insured on the declaration page, but are protected by the policy, usually in regard to a specific interest

Term

Adhesion

Definition

A contract offered on a "take-it-or-leave-it" basis by an insurer, in which the insured's only option is to accept or reject the contract. Any ambiguities in the contract will be settled in favor of the insured.

 

 

Term

Admitted Insurer

Definition

An insurer to which a state insurance department has granted a license to do business within that state.

Term

Adverse Selection

Definition

In general, the tendency for people with the greatest probability of loss to be the ones most likely to purchase insurance.

Term

Agent

Definition

An individual who is licensed to sell, negotiate, or effect insurance contracts on behalf of an insurer

Term

Aggregate Limit

Definition

The maximum amount an insurer will pay for all covered losses during the covered policy period

Term

Agreed Value

Definition

A property policy with a provision agreed upon by the insurer and insured as to the amount of insurance that represents a fair valuation for the property at the time the insurance is written.

Term

Aleatory

Definition

A contract in which participating parties exchange unequal amounts. The amount the insured will pay in premiums is unequal to the amount the insurer will pay in The event of a loss.

Term

Alien Insurer

Definition

An insurance company that is incorporated outside The U.S.

Term

Apparent Authority

Definition

The appearance or the assumption of authority based on the actions, words, or deeds of the principal or because of circumstances the principal created.

Term

Appraisal

Definition

An assessment of property to determine either the correct amount of insurance to be written or the amount of loss to be paid

Term

Arbitration

Definition

A process, agreed to by parties to a dispute in lieu of going to court, by which a neutral person or body makes a binding decision

Term

Assignment

Definition

The transfer of legal right or interest in an insurance policy, in P&C usually only valid with prior written consent of the insurer

Term

Authorized Insurer

Definition

An insurance company that has qualified and received a Certificate of Authority from The Department of Insurance to transact insurance in the state.

Term

Auto

Definition

A land motor vehicle, trailer or semi-trailer designed for use on public roads

Term

Avoidance

Definition

A method of dealing with risk by deliberately keeping away from it (e.g. if a person wanted to avoid the risk of being killed in an airplane crash, he/she might choose never to fly in a plane).

Term

Bailee

Definition

One who holds the personal property of another for a specific purpose

Term

Beneficiary

Definition

The one who receives the proceeds from an insurance policy

Term

Binder

Definition

A temporary insurance contract that forms an oral or written agreement between the insurance company and the customer.

Term

Blanket Bond

Definition

A type of bond that covers losses caused by dishonest employees

Term

Blanket Insurance

Definition

A single property insurance policy that provides coverage for multiple classes of property at one location, or provides coverage for one or more classes of property at multiple locations.

Term

Bodily Injury Liability

Definition

Insurance that protects a driver from claims resulting from injuries or deaths for which the insured is at fault

Term

Boycott

Definition

An unfair trade practice in which one person refuses to do business with another until he or she agrees to certain conditions.

Term

Builder's Risk Coverage Form

Definition

This coverage form provides coverage for buildings that are under construction. Can also be used to cover a building while additions and alterations are being made to the structure.

Term

Building and Personal Property Coverage Form

Definition

A commercial property form that covers buildings, and/or their contents.

Term

Burglary

Definition

Entering a building unlawfully with intent to commit a felony or to steal valuable property

Term

Cancellation

Definition

The termination of an in-force insurance policy by either the insurer or the insured prior to the expiration date shown on the policy

Term

Casualty Insurance

Definition

A type of insurance that is primarily concerned with the legal liability for losses caused by injury to persons or damage to the property of others.

Term

Cease and Desist Order

Definition

A demand of a person to stop committing an action that is in violation of a provision.

Term

Certificate of Authority

Definition

A document that authorizes a company to start conducting business and specifies the kind(s) of insurance a company can transact. It is illegal for an insurance company to transact insurance without this certificate.

Term

Certificate of Insurance

Definition

A legal document that indicates that an insurance policy has been issued, and that states both the amounts and types of insurance provided.

Term

Claim

Definition

A demand made by an insured to cover a loss protected by the insurance policy

Term

Class Rating

Definition

The practice of computing a price per unit of insurance that applies to all applicants possessing a given set of characteristics.

Term
Coercion
Definition
An unfair trade practice in which an insurer uses physical or mental force to persuade an applicant to buy insurance.
Term

Coinsurance

Definition

A cost-sharing provision requires the insured to assume a portion of the cost of covered services.

Term

Combined Single

Definition

This coverage type is a single dollar limit of liability applying to the total of damages for bodily injury and property damage combined resulting from one accident or occurrence.

 

 

Term

Commercial Lines

Definition

Insurance coverages for businesses, commercial institutions, and professional organizations.

Term

Commissioner

Definition

The chief executive and administrative officer of a state insurance department.

Term
Common Law
Definition

Decisions and opinions of courts that are based on local customs and habits of an area within a particular country or state

Term

Complaint

Definition

A written statement of a liability claim given by the claimant; a reason for a law suit

Term

Components

Definition

Factors that determine rates, including loss reserves, loss adjusting expenses, operating expenses and profits

Term

Comprehensive Coverage

Definition

The portion of an insurance policy that protects an individual against automobile damages or losses other than collisions. It includes damages and losses due to fire, vandalism, or Theft.

Term

Concealment

Definition

The withholding of known facts, which if material, can void a contract

Term

Conditional Contract

Definition

A type of an agreement in which both parties must perform certain duties and follow rules of conduct to make the contract enforceable.

Term

Conditions

Definition

The section of the policy that indicates the general rules or procedures that the insurer and insured agree to follow under the terms of the policy

Term

Consideration

Definition

Anything of value given to induce entering into a contract; it may be money, personal services, payment of premiums, for return of coverage

Term

Consultant

Definition

An individual who provides professional advice or services for a fee, regarding the benefits, advantages or disadvantages promised under a policy of insurance

Term

Consumer Reports

Definition

Written and /or oral statements regarding a consumer's credit, character, reputation, or habits collected by a reporting agency from employment records, credit reports, and other public sources.

Term

Contract

Definition

A binding agreement between two or more persons that is enforceable by law

Term

Controlled Business

Definition

An entity that obtains and possesses a license solely for The purpose of writing business on the owner, immediate family, relatives, employer and employees.

Term

Concurrent Causation

Definition

Multiple events leading to one loss

Term

Death Benefit

Definition

The amount payable upon the death of the person whose life is insured.

Term

Declarations

Definition

The who, what, where, when, how of the policy. Also includes premiums

Term

Deductible

Definition

A set amount that the holder of an insurance policy must pay for each loss before the insurance company pays out.

Term

Defamation

Definition

An unfair trade practice in which one agent or insurer makes an injurious statement about another with the intent of harming the person's or company's reputation.

Term

Deposit Premium Audit

Definition

A condition that allows the insurer to audit the insured's books or records at the end of the policy term to make sure adequate premium has been collected for the exposure.

Term

Depreciation

Definition

Any decrease or loss in value caused by age, wear, or market conditions

Term

Direct Losses

Definition

Physical damage to buildings and/or personal property as a result of direct consequence of a particular peril.

Term

Director

Definition

The head of the state department of insurance

Term

Disability

Definition

A mental or physical impairment that substantially limits one or more major life activities.

Term

Disclosure

Definition

An act of identifying the name of the producer, representative or firm, limited insurance representative, or temporary insurance producer on any policy solicitation.

Term

Domestic Insurer

Definition

An insurance company that conducts business in the state of incorporation.

Term

Domicile of Insurer

Definition

Insurer's location of incorporation and the legal ability to write business in a state.

Term

Economic Loss

Definition

The estimated total cost of and accident, both insured and uninsured

Term

Endorsement

Definition

A document, agreed to by both parties, that is attached to the policy and modifies or changes the original policy in some way.

Term

Estoppel

Definition

A legal impediment to denying a fact or restoring a right that has been previously waived

Term

Excess Policy

Definition

A policy that only pays for loss after the primary policy has paid its limit

Term

Exclusions

Definition

Causes of loss, exposures, conditions, etc. listed in the policy for which the benefits will not be paid.

Term

Exclusive or Captive Agent

Definition

An agent who only represents one company and is compensated by commissions

Term

Experience Rating

Definition

Method of determining the premium based on the insured's own past loss experience

Term

Exposure

Definition

A unit of measure used to determine rates charged for insurance coverage

Term

Express Authority

Definition

The authority granted to an agent by means of the agent's written contract

Term

Extensions of Coverage

Definition

A provision in some property policies which allows the extension of a major coverage to apply to specific types of loss to property not specifically insured.

Term

FAIR Plan

Definition

Fair Access to Insurance Requirements plan is a state-run program that makes insurance obtainable to those in high risk areas who have been unable to acquire insurance through other channels.

Term

Fiduciary

Definition

An agent/broker who handles insurer's funds in a trust capacity

Term

First Named Insured

Definition

The individual whose name appears first on the policy's declaration

Term

Flood

Definition

An unusual accumulation of water that overflows from rivers, lakes and The Ocean onto land that is not normally covered by water.

Term

Foreign Insurer

Definition

An insurance company that is incorporated in another state.

Term

Fraternal Benefit Society

Definition

A life or health insurance company formed to provide insurance for members of an affiliated lodge, religious, or fraternal organization with a representative form of government.

Term
Fraud
Definition

A deception deliberately practiced in order to secure unfair or unlawful gain.

Term

Functional Replacement Cost

Definition

The cost of replacing damaged property with similar property that performs the same function but might not be identical to the damaged property.

Term

Gross Negligence

Definition

Reckless behavior that shows disregard for the safety or lives of others

Term

Hazard

Definition

A circumstance that increases the likelihood of a loss

Term

Moral Hazard

Definition

The effect of a person's reputation, character, living habits etc., on his/her insurability

Term

Morale Hazard

Definition

The effect of a person's indifference concerning loss has on the rest to be insured, lack of respect for danger

Term

Physical Hazard

Definition

Hazard that arises from the physical characteristics of an individual, such as disability due to current circumstance or a condition present at birth

 

 

Term

Implied Authority

Definition

Authority that is not expressed or written into the contract, but which the agent is assumed to have in order to transact the business of insurance for the principal.

Term

Indemnity

Definition

Compensation to The insured that restores them to the same financial position that they enjoyed prior to the loss

Term

Independent Agents

Definition

Agents that sell insurance for multiple companies and work for themselves or other agents

Term

Indirect Losses

Definition

Losses resulting from a peril but not directly caused by it, business disruption, rent insurance, extra expenses

Term

Inflation Guard

Definition

A coverage extension that automatically increases amounts of insurance on buildings by an agreed upon percentage annually

Term

Insurable Interest

Definition

Any interest an insured may have in property that is the subject of insurance so that damage or destruction of that property would cause the insured financial loss

Term

Insurance

Definition

The transfer of the possibility of a loss (risk) to an insurance company, which in turn spreads the cost of unexpected losses to many individuals

Term

Insurance Policy

Definition

A written contract between the insured and an insurance company that promises to pay for all or part of a loss

Term

Insured

Definition

An individual who is covered by an insurer

Term

Insured Contract

Definition

A definition on liability forms that describes the types of contracts in which liability is assumed by the insured and included for coverage in the policy. Examples of insured contracts are leases of premises, elevator maintenance agreements, easement agreements, and other agreements related to the insured's business.

Term

Insurer

Definition

The insurance company that provides planned protection against economic losses

Term

Insuring Agreement

Definition

A statement in an insurance policy that the insurer will, under described circumstances, make a loss payment or provide a service.

Term

Intentional Tort

Definition

Any deliberate act that causes harm to another person

Term

Interline Endorsement

Definition

A written amendment designed to eliminate redundancy and minimize the number of endorsements in the policy

Term

Judgment Rating

Definition

An approach used when credible statistics are lacking or when the exposure units are so varied that it is impossible to construct a class

Term

Law of Large Numbers

Definition

A principal stating that the larger number of similar exposure units considered, the more closely the losses reported will equal the underlying probability of a loss

 

 

Term

Legal Liability

Definition

A liability under the law that occurs when a person is responsible for injuries or damages to another due to negligence

Term

Liability

Definition

Responsibility under The law

Term

Liberalization

Definition

A property insurance clause that extends broader legislated or regulated coverage to current policies, as long as it does not result in a higher premium

Term

Lien

Definition

A charge, security, or encumbrance on a property

Term

Limit of Liability

Definition

The maximum amount for which an insured is liable

Term

Lloyd's Association

Definition

Organizations that provide support facilities for underwriters or groups of individuals that accept insurance risk

Term

Loss

Definition

The reduction, decrease or disappearance of value of the person or property insured in a policy by a peril insured against

Term

Loss Payable Clause

Definition

An insurance provision authorizing payment in The event of loss to a person or entity other than the named insured having an insurable interest in the covered property

Term

Loss Ratio

Definition

A calculation used by insurance companies to relate income from loss expenses (incurred losses + loss adjusting expense) / earned premium =?

Term

Loss Valuation

Definition

A factor in determining the premium charged and the amount of insurance required

Term

Market Value

Definition

A seldom used method of valuing a loss based upon the amount a willing buyer would pay to a willing seller for the property prior to loss

Term

Misrepresentation

Definition

A false statement or lie that can render a contract void

Term

Monocline Policy

Definition

A policy written separately as a single coverage

Term

Mutual Assessment Insurer

Definition

A mutual insurance company with three rights to assess a policy holder's additional amounts of premium to meet operational needs

Term

Mutual Companies

Definition

Insurance organizations that have no capital stock, but are owned by the policy holders

Term

Mysterious Disappearance

Definition

A disappearance of property that cannot be explained as to the location, time or manner of the property loss

Term

Named Insured

Definition

The individual(s) whose name appears on the policy's declaration

Term

Named Peril

Definition

The cause of loss specifically covered by the insurance policy. No coverage for unlisted perils

Term

Negligence

Definition

The failure to use the care that a reasonable prudent person would under the same circumstances

Term

No benefit to Bailee

Definition

A provision that includes any assignment or granting of any policy provision to any person or organization holding, storing, repairing, or moving insured property for a fee

Term

No admitted insurer

Definition

An insurance company that has not applied, or has applied and been denied a certificate of authority and may not transact insurance

Term

Nonrenewal

Definition

A termination of a policy by an insurer on the anniversary or renewal date

Term

Notice of Claim

Definition

A provision that spells out an insured's duty to provide the insurer with reasonable notice in The event of a loss

Term

Occurrence

Definition

A broader definition of loss, which differs in an accident that it includes losses caused by continuous or repeated exposure to conditions resulting in injury to persons or damage to property that is neither intended nor expected

Term

Open Peril

Definition

Term used in property insurance to describe the breadth of coverage provided under an insurance policy for that insures against "any risk of loss' that is not specifically excluded

Term

Pair and Set Clause

Definition

A clause included in many property and inland marine policies which provides that The insurer is not obligated to pay for The total value of a set of items if only one item has been lost, damaged or destroyed

Term

Partnership

Definition

A legal entity in which 2 or more persons agree to share the profits and losses of the business

Term

Passive

Definition

A description of an anti-Theft device or system for autos which is activated automatically when the driver turns the ignition key to the off position and the key is removed

Term

Peril

Definition

The cause of a possible loss

Term

Personal Injury Liability

Definition

Legal responsibility for an injury to The character of another person caused by libel, slander, false arrest, invasion of privacy or other acts

Term

Personal lines insurance

Definition

Type of coverage available to individuals and families for non-business risks

Term

Policy Limits

Definition

The maximum amount and insured may collect, or for which an insured is protected under the terms of the policy

Term

Policy Period

Definition

A period of time a policy is in effect

Term

Policyholder

Definition

A basic, fundamental insurance policy which pays first with respect to other outstanding policies

Term

Policy owner

Definition

The person who is entitled to exercise the rights and privileges in the policy, this person may or may not be the insured

Term

Premium

Definition

A periodic payment to the insurance company to keep the policy in force

Term

Pro Rata

Definition

Proportional distribution of shares of the loss for each insurance policy written on a piece of property

Term

Producer

Definition

A person who acts on the behalf of the insurer to sell, negotiate or effect insurance contracts, also known as agent

Term

Proof of Loss

Definition

A sworn statement that must usually be furnished by the insured to an insurer before any loss under a policy can be paid

Term

Property Damage Liability

Definition

Legal liability arising from physical damage to tangible property of others caused by the negligence of the insured

Term

Proximate Cause

Definition

An act or event that is the immediate or actual cause of a loss

Term

Pure Risk

Definition

Situations that can only result in a loss or no change; a gain is never possible. Only type of risk insurance companies is willing to accept

Term

Rebating

Definition

Any inducement offered in the sale of insurance products this is not specified in the policy

Term

Reciprocal

Definition

Insurance resulting from an interchange of reciprocal agreements of indemnity among persons known as subscribers

Term

Reduction

Definition

Lessening the possibility or severity of a loss

Term

Reinsurance

Definition

A form of insurance whereby one insurance company in consideration of a premium paid to it agrees to indemnify another insurance company for part or all of its liabilities from insurance policies it has issued

Term

Replacement Cost

Definition

The cost to replace damaged goods with like kind and quality at current price without any deduction for depreciation

Term

Representations

Definition

Statements made by the applicant on the insurance application that are believed to be true, but are not guaranteed to be true

Term

Retention

Definition

A method of dealing with risk by intentionally or unintentionally keeping a portion of it for the insured's account; the amount of responsibility assumed but not reinsured by the insurance company

Term

Retrospective Rating

Definition

A self-rating plan under which the actual losses during the policy period determine the final premium

Term

Right of Salvage

Definition

A provision in property insurance policy requiring that after a payment of total loss to insured property, the insured must transfer the title or ownership to the property of the insurer

Term

Risk

Definition

Uncertainty as to the outcome of an n event when two or more possibilities exist

Term

Risk, Pure

Definition

The uncertainty or chance of a loss occurring in a situation that involves the opportunity for either loss or gain

Term

Risk, Speculative

Definition

The uncertainty or chance of a loss occurring in a situation that involves the opportunity for either loss or gain

Term

Robbery

Definition

The taking of property from another by using violence or the threat of violence

Term

Salvage

Definition

The amount of money realized from the sale of damaged merchandise or property.

Term

Settlement

Definition

The process by which an agreement is reached and a claim is resolved in liability insurance

Term

Severability of Interests

Definition

A provision that insurance applies separately to each insured in a policy, treating each individual as the only insured

Term

Sharing

Definition

A method of dealing with risk for a group of individual persons or businesses with the same or similar exposure to loss who share the losses that occur within that group

Term

Split

Definition

Separately stated limits of liability for different coverages, which may be stated on a per person, per occurrence, per policy period basis, or can be divided between bodily injury and property damage

Term

Stated Amount

Definition

An amount of insurance scheduled in a property policy which is not subject to any coinsurance requirements in The event of a covered loss

Term

Statute Law

Definition

The written law as enacted by legislative body, which generally takes precedence in cases where both common law and statute law apply

Term

Stock Companies

Definition

Companies owned by the stockholders whose investments provide the capital necessary to establish and operate the insurance company

Term

Strict Liability

Definition

A liability that refers to damages caused by defective products even though the manufacturer's fault or negligence cannot be proven

Term

Subrogation

Definition

The acquisition by an insurer of an insured's rights against any third party for indemnification of loss or other payment, to The extent that the insurer pays the loss

Term

Superintendent

Definition

The head of the state department of insurance

Term

Surety Bond

Definition

A guarantee that debts and obligations will be carried out, and the benefits will be paid for losses caused by nonperformance

Term

Surplus Lines

Definition

Insurance for which there is no readily available, admitted market

Term

Theft

Definition

Any act of stealing or removing property form its rightful owner, encompasses both burglary and robbery

Term

Third-Party Provisions

Definition

Insurance provision that address the rights of someone other than the policy owner to have a secured financial interest in the insured property

Term

Tort

Definition

A wrongful act or the violation of someone's rights that leads to legal liability, intentional and unintentional

Term

Transfer

Definition

A basic principle of insurance under which the risk of financial loss is assigned to another party

Term

Umbrella Liability Policy

Definition

Coverage that provides extra protection against the liability, and excess amount of insurance above the primary policy

Term

Unauthorized Insurer

Definition

An insurance company that has not applied, or has applied and been denied a certificate of authority

Term

Underwriter

Definition

A person who evaluates and classifies risks to accept or reject them on behalf of the insurer

Term

Underwriting

Definition

The process of reviewing, accepting, or rejecting applications for insurance

Term

Unilateral Contract

Definition

A contract that legally binds only lone party to contractual obligations after the premium is paid

Term

Underinsured Motorist Coverage

Definition

Auto coverage under which an insurer will pay up to limits if the liable driver's limits are exhausted and cannot pay the full amount for which they are liable

Term

Uninsured Motorist Coverage

Definition

Coverage that allows collecting sums under which another driver would be liable to pay resulting from an accident when no coverage is carried

Term

Unintentional Tort

Definition

The result of acting without proper care, generally referred to as negligence

Term

Unoccupied

Definition

A property that has contents or furnishings in it, but not being lived in

Term

Utmost Good Faith

Definition

The fair and equal bargaining by both ptaries in forming the contract, where the applicant must make full disclosure of risk to The Company and The Company must be fair in underwriting the risk

Term

Vacant

Definition

A property that has no contents, furnishings, or occupants

Term

Valued Policy

Definition

a policy used when it is difficult to establish The actual cash value of insured property after a loss because of its rarity or uniqueness, no regard to actual value or depreciation

Term

Vicarious Liability

Definition

A type of liability in which one person is responsible for the acts of another; employers and employees parents and children

Term

Waiting Period

Definition

Time between The beginning of a disability and the start of disability insurance benefits

Term

Waiver

Definition

The voluntary abandonment of a known or legal right or advantage

Term

Warranty

Definition

A material stipulation in the policy that if breached may void coverage

Term

Workers Compensation

Definition

Benefits required by state law to be paid to an employee by an employer in The case of injury, disability, or death as the result of an on-The-job hazard

Term

Twisting

Definition

A form of misrepresentation in which an agent persuades an insured/owner to cancel, lapse, or switch policies, even when it's to the insured's disadvantage

Term

Speculative Risk

Definition

The uncertainty or chance of a loss occurring in a situation that involves the opportunity for either loss or gain

Term

Specific Insurance

Definition

A property insurance policy that covers a specific kind or unit of property for a specific amount of insurance

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